a Gender, Women and Sexuality Studies, Institute for Global Studies , University of Minnesota , Minneapolis , MN , USA.
Glob Public Health. 2018 Jun;13(6):662-679. doi: 10.1080/17441692.2017.1301513. Epub 2017 Mar 13.
Reproductive governance operates through calculating demographic statistics that offer selective truths about reproductive practices, bodies, and subjectivities. Post-abortion care, a global reproductive health intervention, represents a transnational reproductive regime that establishes motherhood as women's primary legitimate reproductive status. Drawing on ethnographic fieldwork conducted in Senegal between 2010 and 2011, I illustrate how post-abortion care accomplishes reproductive governance in a context where abortion is prohibited altogether and the US is the primary bilateral donor of population aid. Reproductive governance unfolds in hospital gynecological wards and the national health information system through the mobilization and interpretation of post-abortion care data. Although health workers search women's bodies and behavior for signs of illegal abortion, they minimize police intervention in the hospital by classifying most post-abortion care cases as miscarriage. Health authorities deploy this account of post-abortion care to align the intervention with national and global maternal health policies that valorize motherhood. Although post-abortion care offers life-saving care to women with complications of illegal abortion, it institutionalizes abortion stigma by scrutinizing women's bodies and masking induced abortion within and beyond the hospital. Post-abortion care reinforces reproductive inequities by withholding safe, affordable obstetric care from women until after they have resorted to unsafe abortion.
生殖治理通过计算人口统计数据来运作，这些数据提供了有关生殖实践、身体和主体性的选择性真相。流产后护理是一种全球生殖健康干预措施，代表了一种跨国生殖制度，将母亲身份确立为女性的主要合法生殖地位。本文利用 2010 年至 2011 年在塞内加尔进行的民族志实地调查，说明了在全面禁止堕胎且美国是人口援助的主要双边捐助国的情况下，流产后护理如何在生殖治理中发挥作用。生殖治理通过动员和解释流产后护理数据，在医院妇科病房和国家卫生信息系统中展开。尽管卫生工作者在妇女的身体和行为中寻找非法堕胎的迹象，但他们通过将大多数流产后护理病例归类为流产来尽量减少警察在医院的干预。卫生当局利用这种流产后护理的说法，使干预措施与重视母亲身份的国家和全球孕产妇健康政策保持一致。尽管流产后护理为因非法堕胎而出现并发症的妇女提供了拯救生命的护理，但它通过仔细检查妇女的身体，并在医院内外掩盖人工流产，使堕胎污名化制度化。流产后护理通过在妇女诉诸不安全堕胎之前，拒绝向她们提供安全、负担得起的产科护理，从而加剧了生殖不平等。
